Depression in a primary care clinic : The prevalence and impact of an unrecognized disorder.
This study assesses depression among primary care patients, the relationship between depression and functioning, and how frequently depressed individuals receive mental health treatment.
Two hundred and thirteen participants completed a diagnostic interview and measures of functional impairment and service utilization.
Sixty-two clinic patients were depressed, and depressed individuals experienced significant functional impairment even after controlling for comorbid anxiety disorders and medical problems.
However, less than 40% of depressed individuals were receiving treatment for depression.
Severity of impairment was related to likelihood of receiving mental health services.
Several factors to consider when evaluating this study are the cross-sectional design, use of self-report data, and lack of random sampling.
These results show that depression has a unique and significant impact on the functioning of primary care patients, and emphasize the need for identification of depressive disorders in primary care.
Mots-clés Pascal : Etat dépressif, Prévalence, Soin santé primaire, Capacité fonctionnelle, Activité, Vie quotidienne, Utilisation, Service santé, Santé mentale, Environnement social, Etats Unis, Amérique du Nord, Amérique, Homme, Trouble humeur
Mots-clés Pascal anglais : Depression, Prevalence, Primary health care, Functional capacity, Activity, Daily living, Use, Health service, Mental health, Social environment, United States, North America, America, Human, Mood disorder
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 99-0497016
Code Inist : 002B18C07A. Création : 22/03/2000.